Is It a Strain or a Sprain? How to Tell and What to Do

What Is a Sprain?

A sprain occurs when the ligaments—the tough bands of tissue that connect bones to each other at joints—are stretched or torn. Sprains often happen in areas like the ankles, knees, or wrists due to sudden twists, falls, or impacts.

Symptoms of a Sprain:

  • Pain around the affected joint

  • Swelling and bruising

  • Reduced range of motion

  • A popping sensation at the time of injury (in severe cases)

Common Causes:

  • Rolling your ankle during a run or game

  • Falling and landing on an outstretched hand

  • Sudden changes in direction while playing sports

What Is a Strain?

A strain, on the other hand, affects muscles or tendons—the fibers that connect muscles to bones. Strains are often caused by overstretching or tearing the tissue, typically in the back, hamstrings, or shoulders.

Symptoms of a Strain:

  • Muscle pain and tenderness

  • Swelling or cramping

  • Limited movement in the affected area

  • Muscle weakness or a knotted feeling

Common Causes:

  • Lifting something too heavy

  • Overusing a muscle during repetitive motions

  • Sudden movements, such as jumping or sprinting

How to Tell the Difference

While both injuries share some symptoms, key differences can help you identify what you’re dealing with:

Sprain:

Affected Area: Ligaments (joints)

Pain Location: Around a joint

Common Sign: Swelling and bruising

Cause: Twisting or impact at a joint

Strain:

Affected Area: Muscles or tendons

Pain Location: In the muscle or tendon

Common Sign: Muscle cramping or spasms

Cause; Overstretching or overuse of muscle

What to Do: First Aid for Sprains and Strains

The treatment for both injuries starts with the R.I.C.E. method:

  • Rest: Avoid using the injured area to prevent further damage.

  • Ice: Apply a cold pack for 15-20 minutes every few hours to reduce swelling.

  • Compression: Wrap the area with an elastic bandage to support the injury and limit swelling.

  • Elevation: Keep the injured area raised above heart level to reduce fluid buildup.

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